Civic Intelligence

Cedars-Sinai Marina Hospital

990 • Fiscal year 2017 • EIN 20-1645949

Jul 01, 2016 to Jun 30, 2017 • Filed on May 14, 2018

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4650 Lincoln BlvdMarina Del Rey, CA 90292

(310) 448-7881

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

84th percentile

0.78x

Higher debt load relative to assets than 84% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Liabilities / Revenue

59th percentile

0.57x

Higher debt load relative to revenue than 59% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Net Margin

13th percentile

-12%

Higher net margin than 13% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Top Officer Pay

100th percentile

$4,326,820

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 4.5% of source-year revenue.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2017

Asset Growth

67th percentile

10%

Faster asset growth than 67% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2016 to 2017

Revenue Growth

75th percentile

18%

Faster revenue growth than 75% of similar nonprofits.

2017 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2016 to 2017

Assets

Up

$70,051,453

Up $6,551,496 (+10%) from 2016

Net Assets

Down

$15,369,747

Down $11,330,831 (-42%) from 2016

Liabilities

Up

$54,681,706

Up $17,882,327 (+49%) from 2016

Revenue

Up

$95,301,104

Up $14,682,467 (+18%) from 2016

Expenses

Up

$106,631,934

Up $19,242,270 (+22%) from 2016

Net Income

Down

-$11,330,830

Down $4,559,803 (-67%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$200M$150M$100M$50M$0Assets 2016: $63,499,957Liabilities 2016: $36,799,379Net Assets 2016: $26,700,5782016Assets 2017: $70,051,453Liabilities 2017: $54,681,706Net Assets 2017: $15,369,7472017Assets 2018: $71,606,899Liabilities 2018: $58,235,172Net Assets 2018: $13,371,7272018Assets 2019: $128,759,169Liabilities 2019: $58,773,098Net Assets 2019: $69,986,0712019Assets 2020: $147,959,387Liabilities 2020: $77,591,471Net Assets 2020: $70,367,9162020Assets 2021: $166,247,571Liabilities 2021: $97,636,525Net Assets 2021: $68,611,0462021Assets 2022: $185,230,389Liabilities 2022: $113,032,623Net Assets 2022: $72,197,7662022Assets 2023: $181,744,263Liabilities 2023: $117,161,247Net Assets 2023: $64,583,0162023Assets 2024: $170,679,238Liabilities 2024: $112,409,892Net Assets 2024: $58,269,3462024

Highlighted filing

2017

Assets$70,051,453
Liabilities$54,681,706
Net Assets$15,369,747

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$200M$100M$0-$100MRevenue 2016: $80,618,637Expenses 2016: $87,389,664Net Income 2016: -$6,771,0272016Revenue 2017: $95,301,104Expenses 2017: $106,631,934Net Income 2017: -$11,330,8302017Revenue 2018: $109,325,916Expenses 2018: $111,323,936Net Income 2018: -$1,998,0202018Revenue 2019: $186,672,127Expenses 2019: $121,017,783Net Income 2019: $65,654,3442019Revenue 2020: $136,116,103Expenses 2020: $135,734,258Net Income 2020: $381,8452020Revenue 2021: $139,933,345Expenses 2021: $153,207,680Net Income 2021: -$13,274,3352021Revenue 2022: $150,950,238Expenses 2022: $168,438,628Net Income 2022: -$17,488,3902022Revenue 2023: $157,468,284Expenses 2023: $171,480,514Net Income 2023: -$14,012,2302023Revenue 2024: $171,483,883Expenses 2024: $186,108,191Net Income 2024: -$14,624,3082024

Highlighted filing

2017

Revenue$95,301,104
Expenses$106,631,934
Net Income-$11,330,830
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 14, 2018
Return Version
2016v3.0
Gross Receipts
$95,301,104
Mission and Program Overview

Mission

The hospital's mission is to elevate the health status of the communities served.

To provide compassionate, high quality healthcare.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$37,177,908$38,524,038▲ $1,346,130
Accounts Receivable$10,841,588$13,513,907▲ $2,672,319
Prepaid Expenses and Deferred Charges$11,756,859$11,500,292▼ $256,567
Cash and Non-Interest-Bearing Accounts$1,726,376$4,865,994▲ $3,139,618
Inventories for Sale or Use$1,538,562$1,355,955▼ $182,607
Savings and Temporary Cash Investments$458,664$291,267▼ $167,397
Total Assets$63,499,957$70,051,453▲ $6,551,496
Liabilities
Other Liabilities$16,778,513$37,473,926▲ $20,695,413
Accounts Payable and Accrued Expenses$18,024,123$15,211,037▼ $2,813,086
Mortgage Notes Payable Secured by Investment Property$1,996,743$1,996,743→ $0
Total Liabilities$36,799,379$54,681,706▲ $17,882,327
Net Assets / Fund Balance
Unrestricted Net Assets$26,700,578$15,369,747▼ $11,330,831
Total Net Assets Fund Balance$26,700,578$15,369,747▼ $11,330,831
Total Liabilities and Net Assets / Fund Balance$63,499,957$70,051,453▲ $6,551,496

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$26,050,448$619,320$26,669,768
Equipment$10,951,621$4,187,487$15,139,108
Other Land Buildings$1,521,969$1,800,496$3,322,465
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Stacy Sean FowlerFormer PresidentFT$309,083$453,380$762,463
Mary Kathryn HammackCFO/treasurerFT$199,052$166,249$365,301
Mark MillerVP of Bus DevelopmentFT$117,481$247,393$364,874
Margaret MorganDirector of Human ResourcesFT$163,236$111,627$274,863
Shawn BondPhysician AsstFT$223,094$11,409$234,503
Kimberly BotwinDirector PharmacyFT$192,314$3,921$196,235
Esmat MahmoodiStaff RnFT$177,257$5,569$182,826
Sharon MartinezSecretaryFT$142,676$2,802$145,478

Board Members and Trustees

NameTitle
Thomas M PriselacChair
Leslie VermutBoard Member
Marc RapaportBoard Member
Nickolas Tomasic MdBoard Member
Steven Krems MdBoard Member
Thomas J Wafer JrBoard Member
Vera GuerinBoard Member
Walter ZifkinBoard Member
Mark GavensCEO
Paulette HeitmeyerCOO

Highest Paid Contractors

ContractorServicesLocationCompensation
Cash Acceleration Solutions LLCRevenue Cycle/business Office Management13953 PANAY WAY C325, Marina Del Rey, CA 90292$271,200
Watkins Spine INCMedical Directors (2)410 PROSPECT CIRCLE, South Pasadena, CA 91030$262,500
Premier Emergency PhysiciansEd Physician Coverage Contract7032 COLLECTION CENTER DRIVE, Chicago, IL 60693$170,160
Ruben VillegasMaterials Management Director/consulting596 S ESPLANADE STREET, Orange, CA 92869$145,920
Revenue and Support

Revenue Composition

Contributions and Grants
$1,814,768
Program Service Revenue
$93,101,152
Investment Income
$8,957
Other Revenue
$376,227
All Other Contributions
$1,814,768
Change in Net Assets
$-11,330,830
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$56,488,992
Other Expenses$50,104,942
Grants and Similar Amounts Paid$38,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$28,046,373$10,188,765-$38,235,138
Other Employee Benefits$11,158,271$2,285,429-$13,443,700
Fees for Services Other$3,975,808$1,325,270-$5,301,078
Payroll Taxes$2,681,683$893,890-$3,575,573
Depreciation Depletion$2,714,380$678,595-$3,392,975
Payments to Affiliates$2,497,327$440,705-$2,938,032
All Other Expenses$2,271,728$617,655-$2,889,383
Information Technology$1,829,038$783,870-$2,612,908
Other Expenses$1,839,790$613,263-$2,453,053
Fees for Services Management$1,624,163$541,385-$2,165,548
Insurance$1,109,709$369,905-$1,479,614
Advertising$879,448$293,150-$1,172,598
Pension Plan Contributions$614,050$108,362-$722,412
Current Officers, Directors, Trustees, and Key Employees$372,859$139,310-$512,169
Interest-$120,274-$120,274
Fees for Services Legal$28,388$15,286-$43,674
Travel$10,520$31,565-$42,085
Grants to Domestic Orgs$38,000--$38,000
Conferences and Meetings$5,000$4,890-$9,890
Fees for Services Accounting-$3,545-$3,545
Total Functional Expenses$87,176,820$19,455,114$0$106,631,934
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Ocean Park Community CenterSanta Monica, CA501(c)(3)Grant for Community Homeless Services$10,000
St Joseph CenterVenice, CA501(c)(3)Grant for Community Homeless Services$10,000
Venice Family ClinicVenice, CA501(c)(3)Grant for Integrated Mobile Health Team$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due To/from Related Organization$33,478,968
Malpractice Reserves$1,553,000
Workers Comp Reserves$1,369,000
Capital Leases$738,758
Property Tax Payable$333,134
Sales Tax Payable$1,066
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Cedars-sinai medical center is the sole corporate member of cfhs holdings, inc. Doing business as marina del rey hospital.

Form 990, Part VI, Section A, Line 7A

Cedars-sinai medical center, as the sole corporate member, can elect board of directors to marina del rey hospital.

Form 990, Part VI, Section A, Line 7B

Reserved rights of cedars-sinai medical center, the sole corporate member of marina del rey hospital ("the hospital"). The following actions must be approved or acted upon by cedars-sinai medical center before becoming effective: (a) any amendment to the articles of incorporation or bylaws of the hospital; (b) any amendment to the hospital's purpose or mission; (c) any change in the membership or membership powers of the hospital or its subsidiary; (d) hiring, electing, removing, or terminating any of the officers of the hospital; (e) removal and appointment of directors of the hospital; (f) changing the number of directors on the board of directors; (g) selection and appointment of the auditors and legal counsel of the hospital; (h) any sale or other disposition of all or a substantial portion of the assets of the hospital; (i) merger, consolidation, reorganization, divestiture, affiliation, liquidation, or dissolution; (j) borrowing money and incurring indebtedness on behalf of the hospital; (k) approving the hospital's annual operating and capital budgets; (l) declaring or consenting to the filing of proceedings to declare bankruptcy.

Form 990, Part VI, Section B, Line 11B

The review of the form 990 involves various management personnel including the hospital's treasurer, and a big four accounting firm. A complete copy will be presented at a board of directors' meeting to be held on march 28, 2018.

Form 990, Part VI, Section B, Line 12C

The purpose of the conflicts of interest policy is to protect the interests of the hospital when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer or director of the hospital or might result in a possible excess benefit transaction. This policy is intended to supplement but not replace any applicable state laws governing conflicts of interest applicable to the hospital. Definitions: interested person - any director, principal officer, or member of a committee with board delegated powers who has a direct or indirect financial interest, as defined below, is an interested person. If a person is an interested person with respect to any entity in the health care system of which the hospital is a part, he or she is an interested person with respect to all entities in the health care system. Financial interest - a person has a financial interest if the person has, directly or indirectly, through business, investment or family: a) an ownership or investment interest in any entity with which the hospital has a transaction or arrangement, or b) a compensation arrangement with the hospital or with any entity or individual with which the hospital has a transaction or arrangement, or c) a potential ownership or investment interest in, or compensation arrangement with, any entity or individual with which the hospital is negotiating a transaction or arrangement. Compensation includes direct and indirect remuneration as well as gifts or favors that are substantial in nature. A financial interest is not necessarily a conflict of interest until determined to be so by the board of directors ("board") or a committee of the board with board-delegated powers ("committee"). Procedures: duty to disclose - in connection with any actual or possible conflict of interest, an interested person must disclose the existence of his or her financial interest and all material facts relating thereto to the directors and members of committees with board delegated powers considering the proposed transaction or arrangement. Determining whether a conflict of interest exists - after disclosure of the financial interest and all material facts relating thereto, and after any discussion thereof, the interested person shall leave the board or committee meeting while the financial interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. Procedures for addressing the conflict of interest: a) an interested person may make a presentation at the board or committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement involving the possible conflict of interest. B) the chairperson of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. C) after exercising due diligence, the board or committee shall determine whether the hospital can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. D) if a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in the hospital's best interest and for its own benefit and whether the transaction is fair and reasonable to the hospital and shall make its decisions as to whether to enter into the transaction or arrangement in conformity with such determination. Violations of the conflicts of interest policy: a) if the board or committee has reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief a

Form 990, Part VI, Section B, Line 15

The hospital's chief executive officer is compensated by the hospital's sole corporate member, cedars-sinai medical center. The executive personnel committee of cedars-sinai medical center reviews and approves the chief executive officer's compensation. Since the hospital does not compensate its chief executive officer, the response to this question is no, in accordance with specific instructions from the internal revenue service.

Form 990, Part VI, Section C, Line 19

The organization's audited consolidated financial statements are attached to its form 990. The conflict of interest policy and governing documents are not available to the public.

Filing and Contact Details

Filer

Filer Name
Cfhs Holdings Inc
EIN
20-1645949
Phone
3104487881
Address
4650 LINCOLN BLVD, MARINA DEL REY, CA 90292
Doing Business As
Marina Del Rey Hospital

Signing Officer

Name
Mary Kathryn Hammack
Title
Treasurer
Phone
3108238911
Signed
2018-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Gavens
Formed
2004
Legal Domicile
CA
Voting Board Members
7
Independent Board Members
6
Employees
783
Volunteers
6

Preparer

Firm
Ernst & Young US Llp
Address
18101 VON KARMAN AVENUE SUITE 1700, IRVINE, CA 92612
Preparer
Kara Adams
Phone
9497942300
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

ROUNDING -1.

FORM 990, PART XII, LINE 2C:

The hospital's financial statements were audited on a consolidated basis with its parent for fiscal year ended june 30, 2017. The oversight of the audit was performed by its parent's audit committee.

Financial Statement Notes

PART X, LINE 2:

The following statement is taken from the consolidated audited financial statements of cedars-sinai medical center that includes cfhs holdings, inc. The corporation completed an analysis of its tax positions, in accordance with asc 740, income taxes, and determined that there are no uncertain tax positions taken or expected to be taken. The corporation has recognized no interest or penalties related to uncertain tax positions. The corporation is subject to routine audits by the taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The corporation believes it is no longer subject to income tax examinations for years prior to 2013.

Raw XML AppendixShowing 400 of 1,127 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0CFHS HOLDINGS, INC., DOING BUSINESS AS MARINA DEL REY HOSPITAL ("THE HOSPITAL"), IS A 133-BED NON-PROFIT HOSPITAL AND AFFILIATE OF THE CEDARS-SINAI HEALTH SYSTEM. WE ARE FULLY ACCREDITED WITH THE NATIONALLY RECOGNIZED JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) FOR SAFE AND EFFECTIVE QUALITY CARE. WE HAVE 24-HOUR EMERGENCY CARE, ICU, TELEMETRY, INPATIENT AND OUTPATIENT DIAGNOSTIC SERVICES, AND THE MOST ADVANCED SURGICAL TECHNOLOGY AVAILABLE, CAREFULLY PRACTICED UNDER THE WATCHFUL EYES AND SKILLED HANDS OF OUR WORLD-CLASS PHYSICIANS, NURSES AND HEALTH PROFESSIONALS. MARINA DEL REY HOSPITAL IS DEDICATED TO PATIENT-FOCUSED, PERSONALIZED CARE TO ACHIEVE THE HIGHEST LEVEL OF PATIENT OUTCOMES AND SATISFACTION.(SEE SCHEDULE O FOR CONTINUATION)(CONTINUED FROM PAGE 2)HOSPITAL SERVICES:24-HOUR EMERGENCY CARETELEMEDICINE STROKE PROGRAM INTENSIVE CARE UNITTELEMETRY (CARDIAC MONITORED BEDS)INPATIENT AND OUTPATIENT CAREINPATIENT AND OUTPATIENT DIAGNOSTIC SERVICES - IMAGING, GASTROINTESTINAL, LABORATORY, CARDIOLOGY AND EMERGENCYNATIONALLY-RECOGNIZED SURGERY PROGRAMS (SPINE, BARIATRIC, AND ROBOTIC)THE MOST ADVANCED SURGICAL TECHNOLOGY AVAILABLE, PRACTICED UNDER THE WATCHFUL EYES AND SKILLED HANDS OF OUR WORLD-CLASS PHYSICIANS, NURSES AND HEALTH PROFESSIONALS - MAKO ORTHOPAEDIC, DA VINCI (MINIMALLY INVASIVE SURGICAL SERVICES - HERNIA, APPENDECTOMY, GALLBLADDER, COLON, ANTI REFLUX, BARIATRIC) IMAGINGHOSPITAL STATISTICS:EMPLOYEES 783PHYSICIANS WITH HOSPITAL PRIVILEGES 367SURGEONS WITH HOSPITAL PRIVILEGES 185NUMBER OF SURGERIES ANNUALLY 3,911NUMBER OF ER VISITS ANNUALLY 28,122PAYOR % - HMO/PPO (51%); MEDICARE (35%); MEDI-CAL (5%); COMMERCIAL/OTHER (6%); SELF-PAY/CHARITY (3%)COMMUNITY SUPPORT AND ENGAGEMENT HIGHLIGHTS- OUR TWO OUTPATIENT CLINICS ARE NATIONALLY RECOGNIZED AS LEADING SURGICAL CENTERS OF CARE. THE MARINA SPINE CENTER IS A MULTIDISCIPLINARY CENTER OFFERING COMPREHENSIVE SPINE SERVICES, FROM EVALUATION AND DIAGNOSIS TO SURGERY AND REHABILITATION. OUR MARINA WEIGHT LOSS CLINIC IS ACCREDITED BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) FOR EXCELLENCE.- MARINA DEL REY HOSPITAL IS THE ONLY HOSPITAL LOCATED WITHIN LOS ANGELES' 11TH DISTRICT, AND WE ARE ACTIVELY INVOLVED IN COUNCILMAN MIKE BONIN'S HOMELESS INITIATIVE, VENICE FORWARD. IN ADDITION, WE HAVE JOINED FORCES WITH OUR COMMUNITY PARTNERS (VENICE FAMILY CLINIC, ST. JOSEPH CENTER, AND OPCC) TO HELP STEM THE HOMELESS CRISIS ON THE WESTSIDE. - ALTHOUGH HEALTHCARE REFORM AND THE AFFORDABLE CARE ACT HAVE PLACED SIGNIFICANT FINANCIAL CHALLENGES ON SMALL, COMMUNITY HOSPITALS LIKE MDRH THROUGH REIMBURSEMENT REDUCTIONS AND THE TRANSITION OF CARE TO OTHER HEALTHCARE ENTITIES, MDRH HAS REMAINED RESILIENT IN OUR MISSION TO SERVE OUR LOCAL COMMUNITY.- OUR PATIENT-CENTRIC APPROACH ALLOWS US TO ATTRACT AND RETAIN ELITE, PRIVATE PRACTICE SURGEONS AND EXTEND WORLD-CLASS CARE IN AN INTIMATE SETTING. FROM TREATING PROFESSIONAL ATHLETES TO LOCAL FIREMEN AND POLICE OFFICERS, OUR SURGEONS AND PRIMARY CARE PHYSICIANS SERVE OUR COMMUNITY PROUDLY. WE LOOK FORWARD TO CONTINUED GROWTH AS A NEW MEMBER OF THE CEDARS-SINAI HEALTH SYSTEM.PROGRAM ACCOMPLISHMENTS/DEVELOPMENT:TELE-STROKE PROGRAM (FEBRUARY 2017) - COLLABORATING WITH CEDARS-SINAI'S NEUROLOGY DEPARTMENT- TELEMEDICINE FOR SUSPECT AND DIAGNOSED STROKE- ONBOARDING NEUROLOGISTS INCLUDING APPOINTMENT OF FIRST STROKE DIRECTOR- EDUCATION/TRAINING TO COMMUNITY IS ONGOING - WORKING TOWARD PRIMARY STROKE CENTER CERTIFICATIONJOINT REPLACEMENT SERVICE LINE- PURCHASED MAKO ROBOT - DECEMBER 2016 GO LIVE- PARTNERING WITH CEDARS-SINAI, FOUNDATION AND KERLAN/JOBE ORTHOPAEDIC CLINIC (DR. TIBERI) - ONE OF FIVE HOSPITALS IN THE SOUTHWEST REGION TO HAVE THE MAKO AND THE ONLY HOSPITAL WITH THE MAKO TOTAL KNEE CAPABILITYOTOLARYNGOLOGIST - EARS, NOSE AND THROAT (ENT) PROGRAM- COLLABORATING WITH CEDARS-SINAI FOUNDATION ENT (DR. GENE LIU)- EXPANDING SERVICES
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